{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T05:21:17Z","timestamp":1787808077091,"version":"build-2784847793"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp;amp; Practice"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>With obesity rates remaining high in the United States, many individuals attempt weight loss using self\u2010directed approaches that may not align with clinical recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This secondary data analysis examines the association between a desire to weigh less and unhealthy weight control behaviors among American adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the 2017\u20132018 National Health and Nutrition Examination Survey (NHANES) were assessed through variables representing a desire to weigh less and self\u2010regulated weight control behaviors that are not clinically recommended: skipping meals, using non\u2010RX weight loss supplements, and using laxatives or self\u2010induced vomiting. Chi\u2010square tests and a linear probability model were employed to evaluate their relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of adult survey respondents, 62.6% indicated a desire to weigh less. It was more likely to be reported by female, non\u2010Hispanic white, and college\u2010educated participants. Respondents who wanted to weigh less were more likely to engage in unhealthy weight loss strategies than those who wanted to gain weight or maintain their weight. There was a statistically significant relationship between a desire to weigh less and each unhealthy weight loss behavior (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). The linear probability model demonstrated that wanting to weigh less had the strongest effect on skipping meals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings indicate a strong relationship between a desire to lose weight and engaging in potentially harmful weight control behaviors, broadening our understanding of self\u2010regulated approaches that adults may resort to. More attention should be directed to patient weight satisfaction and monitoring of unhealthy weight control practices in patient\u2010provider collaborations through nutrition support and healthcare settings for improved weight management care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/osp4.70177","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T10:12:26Z","timestamp":1784801546000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Desire to Weigh Less and Unhealthy Weight Control Behaviors Among U.S. Adults: Evidence From NHANES 2017\u20132018"],"prefix":"10.1002","volume":"12","author":[{"given":"Anna V.","family":"Garcia","sequence":"first","affiliation":[{"name":"College of Professional Studies, Applied Nutrition Graduate Program University of New England  Portland Maine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7899-5701","authenticated-orcid":false,"given":"Elizabeth","family":"Dodge","sequence":"additional","affiliation":[{"name":"College of Professional Studies, Applied Nutrition Graduate Program University of New England  Portland Maine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4957-2136","authenticated-orcid":false,"given":"Basil H.","family":"Aboul\u2010Enein","sequence":"additional","affiliation":[{"name":"College of Arts &amp; 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